In this role, you will guide members through a collaborative case management process built on ... management. Work Environment You will be working in an approved remote environment within the ...
New
In this role, you will guide members through a collaborative case management process built on ... management. Work Environment You will be working in an approved remote environment within the ...
New
In this role, you will guide members through a collaborative case management process built on ... management. Work Environment You will be working in an approved remote environment within the ...
New
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Provide telephonic case management for members * Facilitate and track referrals to appropriate ...
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Provide telephonic case management for members * Facilitate and track referrals to appropriate ...
Fully remote position; candidates must reside in Michigan * Must be willing to drive a personal ... Strong knowledge of care management, care coordination, case management, and population health ...
Fully remote position; candidates must reside in Michigan * Must be willing to drive a personal ... Strong knowledge of care management, care coordination, case management, and population health ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI · Remote
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI · Remote
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI · Remote
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI · Remote
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Grand Rapids, MI · On-site +1
Conducts remote access to customer sites for troubleshooting, technical support, and system ... Accepts case management requests directly from Resource Coordinators for "connected" customers that ...
Grand Rapids, MI · On-site +1
Conducts remote access to customer sites for troubleshooting, technical support, and system ... Accepts case management requests directly from Resource Coordinators for "connected" customers that ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Oversee market-specific clinical programs, including Case Management (CM), Bright Start Maternity ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Oversee market-specific clinical programs, including Case Management (CM), Bright Start Maternity ...
Detroit, MI · On-site +1
$70K - $140K/yr
Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Detroit, MI · On-site +1
$70K - $140K/yr
Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Detroit, MI · On-site +1
$70K - $140K/yr
Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Detroit, MI · On-site +1
$70K - $140K/yr
Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Grand Rapids, MI · On-site +1
$74K - $95K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
Grand Rapids, MI · On-site +1
$74K - $95K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
Grand Rapids, MI · On-site +1
$74K - $95K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
Grand Rapids, MI · On-site +1
$74K - $95K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
| Aspect | Remote Maternity Case Management | Remote Prenatal Care Coordinator |
|---|---|---|
| Certifications | Case management certification, nursing or health-related credentials | Obstetric or prenatal care certifications, nursing background |
| Work Environment | Remote, healthcare settings, patient advocacy | Remote, healthcare settings, patient education and support |
| Industry Usage | Used by insurance companies, healthcare providers, case management agencies | Used by clinics, hospitals, prenatal programs |
Both roles involve supporting pregnant women remotely, but Remote Maternity Case Management focuses on coordinating care, managing health plans, and advocating for patients, while Remote Prenatal Care Coordinators primarily provide education, support, and guidance during pregnancy. The roles often overlap but differ mainly in scope and primary responsibilities.

Full-time
Posted 3 days ago
New
About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.
What You'll Do
Determine the appropriate case management track for each assigned case.
Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
Develop customized, member-specific clinical case management plans.
Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
Request and track receipt of the records and documentation needed to identify ongoing case management needs.
Build and maintain a case management resource library to provide members with information relevant to their conditions.
Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
Collaborate with vocational specialists during the case management process when needed.
Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
Communicate with members, physicians, employers, and clients as appropriate.
Enter case activities into the case management system accurately and within client-required timeframes.
Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.
What You'll Bring
Unrestricted RN licensure, without sanctions.
Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
Minimum of five years of clinical experience.
Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
Working knowledge of diagnostic coding (ICD-10).
Strong critical thinking, decision-making, and organizational skills with close attention to detail.
Ability to meet deadlines and turnaround times consistently.
Ability to work independently as well as within a team.
Computer literacy, including solid working knowledge of Microsoft Word and Excel.
Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
Bachelor's degree in nursing or a health-related field.
Working knowledge of the insurance industry, medical claims, and/or disability claims.
Experience with Lean production management.
Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.
Sourced by ZipRecruiter
Public administration
51 - 200 Employees
Novi, MI, US
2007